UNSPSC 85494467: Insertion of defibrillator lead into coronary vein, open approach

This classification denotes the group of activities that yields a surgical intervention or procedure to insertion of defibrillator lead into coronary vein, open approach. This surgical intervention or procedure is listed in the World Health Organization's International Statistical Classification of Diseases and Related Health Problems or ICD-10 as code 02H40KZ

UNSPSC 85494467 Insertion of defibrillator lead into coronary vein, open approach is a Commodity code that nominally describes a surgical procedure, but the recent state and local contract opportunities posted under this code show little alignment with that clinical scope. Instead, the opportunities tagged to this code span occupational medical surveillance, independent disability medical evaluations, pharmacy benefit management, surgical procedure carve-out benefit administration, temporary health professional staffing placement, and specialty medical services for youth in custody. These represent administrative healthcare services, workforce health management, and benefits coordination rather than cardiac device implantation. The issuing bodies are diverse: county governments (Collier County, Harris County, Santa Clara County), municipal employee retirement systems (City of Phoenix), cities (City of Long Beach), and state transportation agencies (Washington State Department of Transportation). No single issuing body dominates the recent activity under this code.

The geographic spread spans Arizona (Phoenix), California (Long Beach, Santa Clara), Florida (Collier County), Washington State (WSDOT/Washington State Ferries), and Texas (Harris County). Representative recent opportunities include the Washington State Department of Transportation's occupational medical surveillance RFP for ferry system employees due October 9, 2026, soliciting physician-supervised baseline and periodic examinations across 14 coastal locations; the City of Phoenix Retirement Office's RFP for independent medical evaluation services for disability benefit determinations due October 16, 2026 with a maximum contract value of $750,000 over five years; and the County of Santa Clara Health System's qualification pool for temporary health professional staffing services across 13 ancillary clinical categories due October 7, 2026. The code exhibits significant miscoding relative to its clinical nomenclature, suggesting either data-entry errors in the tagging process or a systematic misalignment between the taxonomy classification and the work actually being bought.